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Issue

Vol 130 No 1450: 17 February 2017

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Issue Summary

SUMMARY

Ethnic and geographic variations in the incidence of pancreatitis and post-pancreatitis diabetes mellitus in New Zealand: a nationwide population-based study

Sayali A Pendharkar, Juby Mathew, Jinfeng Zhao, John A Windsor, Daniel J Exeter, Max S Petrov

Previous research on pancreatitis in New Zealand was under-representative of minorities and underserved populations, particularly the M1ori and Pacific people. Also, a recent study by World Health Organization showed that population-based data on acute pancreatitis and chronic pancreatitis are available for every region except for Australasia and Africa. Given that M1ori and Pacific people are most prone to developing chronic metabolic diseases, determining true nationwide burden of these diseases is important, as these diseases have a large impact on healthcare policies and budgets. Awareness of these diseases is crucial to help prevent and develop treatment strategies for everyone, but particularly for M1ori and Pacific people, who are worst affected.

SUMMARY

Unhealthy food marketing to New Zealand children and adolescents through the internet

Stefanie Vandevijvere, Karuna Sagar, Bridget Kelly, Boyd Swinburn

Compared to traditional media, the internet allows food marketers to use engaging techniques to directly interact with children. A wide range of marketing techniques and features were identified on food brand websites. Food marketing on popular non-food websites among children and adolescents was however low. Additional assessment of food marketing to children through social and other digital media is recommended.

SUMMARY

Proposed new industry code on unhealthy food marketing to children and young people: will it make a difference?

Boyd Swinburn, Stefanie Vandevijvere on behalf of submitting health professors*

The Advertising Standards Authority recently reviewed its self-regulatory codes on food marketing to children and have proposed a new single code. Over 70 health professors provided a submission to this process, and in this paper analyse the proposed new code. They find that there are no improvements or uncertain improvements over the previous codes and that children will continue to be heavily exposed to unhealthy food marketingespecially adolescents (not covered in the code), through sponsorship and package labelling (excluded from the code) and at peak TV viewing hours and through social media (unsatisfactory definitions in the code). The health professors are calling for government to take the lead and develop a stronger regulatory environment to protect children.

SUMMARY

Psychosocial enhancement of the Green Prescription for obesity recovery: a randomised controlled trial

Doug Sellman, Ria Schroder, Daryle Deering, Jane Elmslie, James Foulds, Chris Frampton

Obesity is arguably the number one health problem in New Zealand, although treatment options are limited. The Green Prescription is a key government-funded health promotion programme for which the most common referrals are people with overweight problems. This study found that Green Prescription alone brought about an average of less than 1kg per participant (0.7kg) at 12 months. However, when Kia \u0100kina was added, the weight-loss achieved was 5x greater, along with improved confidence about recovering from obesity in the future, better quality of life measures and overall satisfaction with the assistance received by participants. Kia \u0100kina is a small low-cost recovery network based on addiction principles, which offers ongoing support and encouragement to its participants. Further research and development of Kia \u0100kina to improve its weight-loss outcomes is needed before it is expanded.

SUMMARY

Long-term survival following diabetic vitrectomy

Bia Z Kim, Kuo-Luong Lee, Stephen J Guest, David Worsley

Complications of diabetes in the eye can be vision-threatening but also life-threatening. Nearly a third of diabetic patients undergoing surgery for the ocular complications die within five years following surgery, at around 60 years of age. The poor survival rates are associated with severe systemic complications, such as kidney disease. These complications of diabetes are preventable with careful regular monitoring and appropriate treatment that is closely shared across various medical specialties.

SUMMARY

Discharge outcomes of patients referred to specialist eye clinic from diabetic retinopathy screening in Northland (2014–15)

Pragnya Jagadish, David Dalziel

The study was a retrospective analysis of 98 patients seen at specialist eye clinic after being referred from diabetic retinopathy screening (DRS). We found that 45% of the patients were re-enrolled back into DRS after being seen in specialist clinic and 49% stayed under specialist clinic for further treatment. Only 5.9% patients were not re-enrolled back to DRS after being seen in specialist eye clinic. Non-attendance at clinic appointments was high among the M1ori population.

SUMMARY

TABLE - 23 years of managing diabetic ketoacidosis at Auckland Hospital

Geoffrey Braatvedt, Amelia Tekiteki, Holly Britton, John Wallace, Manish Khanolkar

We aim to examine the length of stay and need for intensive care of people admitted with diabetic ketoacidosis (DKA) to a single centre between 1988 and 2011. DKA remains an important reason for admission to this hospital, but the severity of DKA at presentation has reduced over time. The need for intensive care admission and length of stay has fallen dramatically.

ALL ARTICLES
SUMMARY

Ethnic and geographic variations in the incidence of pancreatitis and post-pancreatitis diabetes mellitus in New Zealand: a nationwide population-based study

Sayali A Pendharkar, Juby Mathew, Jinfeng Zhao, John A Windsor, Daniel J Exeter, Max S Petrov

Unhealthy food marketing to New Zealand children and adolescents through the internet

Stefanie Vandevijvere, Karuna Sagar, Bridget Kelly, Boyd Swinburn

Proposed new industry code on unhealthy food marketing to children and young people: will it make a difference?

Boyd Swinburn, Stefanie Vandevijvere on behalf of submitting health professors*

Psychosocial enhancement of the Green Prescription for obesity recovery: a randomised controlled trial

Doug Sellman, Ria Schroder, Daryle Deering, Jane Elmslie, James Foulds, Chris Frampton

Long-term survival following diabetic vitrectomy

Bia Z Kim, Kuo-Luong Lee, Stephen J Guest, David Worsley

High incidence of medulloblastoma in Māori and Pacific populations in New Zealand

J Mark Elwood, Phyu Sin Aye

Community-acquired pneumonia incidence before and after proton pump inhibitor prescription

Giant cell arteritis treatment failure resulting from probable steroid/antiepileptic drug-drug interaction

Eoin Mulroy, John Highton, Sarah Jordan

Sir Walter Raleigh’s Nostrum

Discharge outcomes of patients referred to specialist eye clinic from diabetic retinopathy screening in Northland (2014–15)

Pragnya Jagadish, David Dalziel

Six new studies about diabetes: what can we learn that might benefit Māori and Pacific people?

Timothy W Kenealy, Nicolette F Sheridan, Brandon J Orr-Walker

High levels of rheumatic fever and sore throat awareness among a high-risk population screened for rheumatic heart disease

Jason K Gurney, Angela Chong, Nicola Culliford-Semmens, Elizabeth Tilton, Nigel J Wilson, Diana Sarfati

TABLE - 23 years of managing diabetic ketoacidosis at Auckland Hospital

Geoffrey Braatvedt, Amelia Tekiteki, Holly Britton, John Wallace, Manish Khanolkar

SUMMARY

Ethnic and geographic variations in the incidence of pancreatitis and post-pancreatitis diabetes mellitus in New Zealand: a nationwide population-based study

Sayali A Pendharkar, Juby Mathew, Jinfeng Zhao, John A Windsor, Daniel J Exeter, Max S Petrov

Previous research on pancreatitis in New Zealand was under-representative of minorities and underserved populations, particularly the M1ori and Pacific people. Also, a recent study by World Health Organization showed that population-based data on acute pancreatitis and chronic pancreatitis are available for every region except for Australasia and Africa. Given that M1ori and Pacific people are most prone to developing chronic metabolic diseases, determining true nationwide burden of these diseases is important, as these diseases have a large impact on healthcare policies and budgets. Awareness of these diseases is crucial to help prevent and develop treatment strategies for everyone, but particularly for M1ori and Pacific people, who are worst affected.

SUMMARY

Unhealthy food marketing to New Zealand children and adolescents through the internet

Stefanie Vandevijvere, Karuna Sagar, Bridget Kelly, Boyd Swinburn

Compared to traditional media, the internet allows food marketers to use engaging techniques to directly interact with children. A wide range of marketing techniques and features were identified on food brand websites. Food marketing on popular non-food websites among children and adolescents was however low. Additional assessment of food marketing to children through social and other digital media is recommended.

SUMMARY

Proposed new industry code on unhealthy food marketing to children and young people: will it make a difference?

Boyd Swinburn, Stefanie Vandevijvere on behalf of submitting health professors*

The Advertising Standards Authority recently reviewed its self-regulatory codes on food marketing to children and have proposed a new single code. Over 70 health professors provided a submission to this process, and in this paper analyse the proposed new code. They find that there are no improvements or uncertain improvements over the previous codes and that children will continue to be heavily exposed to unhealthy food marketingespecially adolescents (not covered in the code), through sponsorship and package labelling (excluded from the code) and at peak TV viewing hours and through social media (unsatisfactory definitions in the code). The health professors are calling for government to take the lead and develop a stronger regulatory environment to protect children.

SUMMARY

Psychosocial enhancement of the Green Prescription for obesity recovery: a randomised controlled trial

Doug Sellman, Ria Schroder, Daryle Deering, Jane Elmslie, James Foulds, Chris Frampton

Obesity is arguably the number one health problem in New Zealand, although treatment options are limited. The Green Prescription is a key government-funded health promotion programme for which the most common referrals are people with overweight problems. This study found that Green Prescription alone brought about an average of less than 1kg per participant (0.7kg) at 12 months. However, when Kia \u0100kina was added, the weight-loss achieved was 5x greater, along with improved confidence about recovering from obesity in the future, better quality of life measures and overall satisfaction with the assistance received by participants. Kia \u0100kina is a small low-cost recovery network based on addiction principles, which offers ongoing support and encouragement to its participants. Further research and development of Kia \u0100kina to improve its weight-loss outcomes is needed before it is expanded.

SUMMARY

Long-term survival following diabetic vitrectomy

Bia Z Kim, Kuo-Luong Lee, Stephen J Guest, David Worsley

Complications of diabetes in the eye can be vision-threatening but also life-threatening. Nearly a third of diabetic patients undergoing surgery for the ocular complications die within five years following surgery, at around 60 years of age. The poor survival rates are associated with severe systemic complications, such as kidney disease. These complications of diabetes are preventable with careful regular monitoring and appropriate treatment that is closely shared across various medical specialties.

SUMMARY

Discharge outcomes of patients referred to specialist eye clinic from diabetic retinopathy screening in Northland (2014–15)

Pragnya Jagadish, David Dalziel

The study was a retrospective analysis of 98 patients seen at specialist eye clinic after being referred from diabetic retinopathy screening (DRS). We found that 45% of the patients were re-enrolled back into DRS after being seen in specialist clinic and 49% stayed under specialist clinic for further treatment. Only 5.9% patients were not re-enrolled back to DRS after being seen in specialist eye clinic. Non-attendance at clinic appointments was high among the M1ori population.

SUMMARY

TABLE - 23 years of managing diabetic ketoacidosis at Auckland Hospital

Geoffrey Braatvedt, Amelia Tekiteki, Holly Britton, John Wallace, Manish Khanolkar

We aim to examine the length of stay and need for intensive care of people admitted with diabetic ketoacidosis (DKA) to a single centre between 1988 and 2011. DKA remains an important reason for admission to this hospital, but the severity of DKA at presentation has reduced over time. The need for intensive care admission and length of stay has fallen dramatically.

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